Wellformed AI

NPI 1033697248 · live from the CMS NPI Registry

Krysta Bass, LBA, BCBA

Behavior Analyst in Birmingham, AL. National Provider Identifier 1033697248, active.

NPI record

NPI1033697248 Type 1 · individual
StatusActive
Primary specialtyBehavior Analyst 103K00000X
Practice location2305 Arlington Ave S, Birmingham, AL 35205
Practice phone205-957-0294
Mailing address4778 Overton Rd, Birmingham, AL 35210
EnumeratedJuly 31, 2018
Last updatedMarch 5, 2021
Sole proprietorNo
Other namesKrysta Smith

Taxonomies and licenses

TaxonomyCodeLicense
Behavior Analyst primary103K00000X2021-019 (AL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.